Building inspection form for 51 Nassau Street regarding ACM and

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: a 5( nr 20 tAlk% e N I.A N C Block: Residential 0 Commercial Name of Building: Lot: Mix Use 0 Other # of Stories: i AKA's: S t QCU4au-& S+hrR Building Owner/Management: Telephone Number: (3.4-) 2tg 1,7 3s Name: 20 FAX: Address: On Site Contact: Name: • ' Telephone Number: ) Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ Yes ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A BYes ❑ No ® No Visible/Fine-Layer- ❑%tol" 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%tol" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%tol" 0>1" West ❑ N/A SYes ❑ No No Visible/Fine Layer ❑%to l" 0>1" Facade Description:

Roof

Debris: No Visible z to 1" •9 =~.'4 0>1" fa'4 Description: 'ML e— -fsDrt- L618A (~s~, aid Ccm s+~fYu~~'

Setbacks N/A Floor: Debris: ❑ No Visible/Fine Layer 0 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 10 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ 6 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments

Date: 7 / / S /2002 Inspection Team: Name: RAM Ma Hon( Agency: W1C. D6P. Name: Agency:

NYC-WTC 000099805